Individual provider Active NPI

Matthew Lawrence Stampe, LAC

  • Acupuncturist
  • Alexandria, VA
National Provider Identifier
1861950446
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000941 Issued in VA
Practice address
3343 Duke St
Alexandria, VA 22314-5219
Phone
(703) 259-9193
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019006078 VA
Acupuncturist 171100000X 0121000941 VA Primary
Acupuncturist 171100000X AC500315 DC
Acupuncturist 171100000X U02615 MD

Addresses

Primary practice location

3343 Duke St
Alexandria, VA 22314-5219

Mailing address

7008 Catlett St
Springfield, VA 22151-3901
Phone (703) 776-0630

Other practice location 1

9401 Mathy Dr
Fairfax, VA 22031-5310
Phone (703) 776-0630

Other practice location 2

150 S Washington St Ste 301
Falls Church, VA 22046-2921
Phone (571) 327-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC500315DCMDAcupuncturist
U02615MDMDAcupuncturist
0121000941VAMDAcupuncturist
0019006078VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guan Yuan PLLC CurrentSince Sep 6, 2020 Accepting new patients
Avit Systems Inc Acupuncturist CurrentSince Jan 26, 2020 Accepting new patients
Palmercare Chiropractic Falls Church LLC PastSince Nov 24, 2022 Accepting new patients

Locations

3343 Duke St
Alexandria, VA 22314
Phone (202) 821-7323

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1861950446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 CATLETT ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513901",
            "telephone_number": "703-776-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145219",
            "telephone_number": "703-259-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Mathy Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220315310",
            "country_code": "US",
            "telephone_number": "703-776-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Washington St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220462921",
            "country_code": "US",
            "telephone_number": "571-327-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPE",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006078",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000941",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500315",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.